| NPI | 1245099191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE HIGGIN Administrator 302-743-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |